UTEP Email Address*. *Students must activate and check their UTEP email accounts as this will be the primary means of co
THE UNIVERSITY OF TEXAS AT EL PASO
Study Abroad Office Study Abroad Scholarship Application Any student who has been competitively selected to participate in an approved study abroad program is eligible to apply for the Study Abroad Scholarship. Students are encouraged to complete the application and submit the required paperwork as early as possible to secure a scholarship. Scholarship award amounts will be dependent on GPA, type of program, length of program and number of applicants. Any scholarship money that is awarded to the student will be disbursed by the Scholarship Office through Goldmine. If awarded the Study Abroad Scholarship, you will have to fill out a Responsibilities of Accepting the Study Abroad Scholarship form. Only completed applications will be reviewed. All scholarship applications MUST be typed.
Deadline: Students must submit completed applications two (2) weeks before their departure date.
Upon return to UTEP, each student is required to: Submit ten high quality photos to the Study Abroad Office Submit a one-page descriptive summary report
I. Biographical Information Name UTEP ID# UTEP Email Address* *Students must activate and check their UTEP email accounts as this will be the primary means of communication.
Telephone Number Classification SELECT
College
Major(s)
Minor(s) GPA II. Program Information Study Abroad Program Program Location / University Program Dates FROM
TO
III. Financial Information Do you currently pay in-state tuition?
SELECT
Do you receive PASE?
SELECT
Are you eligible to apply for Financial Aid?
SELECT
Do you currently receive Financial Aid?
SELECT
Have you received the Study Abroad Scholarship before?
SELECT
Amount Received
IV. Relationships Question for Scholarship Applicants State law requires that each student identify any relation to a current member of The University of Texas System Board of Regents. A student who is related to a current member of the U.T. System Board of Regents is prohibited from receiving a scholarship unless the scholarship is awarded exclusively based on academic merit or is an athletic scholarship. It is a Class B misdemeanor to file a false statement. Are you related to any member of the U.T. System Board of Regents? If yes, please identify the Board member and the relationship. Applicable relationships include one of the following1. Regent’s—spouse, spouse’s child, spouse’s parent, child’s spouse, parent’s spouse; 2. Regent’s—spouse’s brother or sister, spouse’s grandparent, spouse’s grandchild, brother’s or sister’s spouse, grandparent’s spouse, grandchild’s spouse; 3. Regent’s—parent, daughter, son; 4. Regent’s—bother, sister, grandparent, grandchild; or 5. Regent’s—great-grandparent, great-grandchild, uncle or aunt (brother or sister of parent), nephew or niece (son or daughter of brother or sister). A list of the current members of The University of Texas System Board of Regents is available at http://www.utsystem.edu/BOR/currentRegents.htm Failure to complete, sign and date this portion will prohibit the review of your application. I certify that the information on this application is complete and correct and understand that the submission of false information is grounds for rejection of my application, withdrawal of any offer of acceptance cancellation of any scholarship awards, denial of credit or appropriate disciplinary action. Furthermore, I authorize the publication of any award I may receive.
Signature
Date
Study Abroad Application Checklist Students must submit all of the documents listed on the application checklist to the Study Abroad Office before the application deadline. Host Institution and/or Program Application Host Institution and/or Program Acceptance Letter Attend required Pre-Departure Orientations Signed Release and Indemnification Form Signed Responsibilities of Participating Form Emergency Contact Form Completed Passport, Visa, Travel Information Form Copy of Passport Copy of Visa* Copy of Travel Itinerary Proof of International Insurance Coverage Proof of International SOS Registration Proof of U.S. State Department Registration* Completed Study Abroad Credit Approval Form Proof of Class Registration at UTEP Zero dollar ($0) balance of UTEP Goldmine Account Completed Scholarship Application
*IF REQUIRED
